HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED-6 G
Date:13 13—/S SCANNED Permit Number:
BY
® St. Lucie County U
Building Permit Application 150vf
Planning and Development Services -- -
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
Address:
'A�
Legal Description:D�C�� oce rY A�_-0:20doyninig A "M ot-1L
Property Tax ID N: Lk6W'60a-00 CS -cW- 3 Lot No.
Site Plan Name: _m4n Block No.
Project Name:!' -rco1
Setbacks Front Back: Right Side: Left Side:
uDETAILED.DESCRIPTION;OF WORK:
r U /C,Yiev r c. ,Lr a--
• - -- - - -
T/e, a.
CONSTRUCTION INFORMATION'
Aiditional work to e ertorme un ert ispermi -c ec a appy:
eH❑C GGTank ❑Gas Piping Shutters ❑Windows/Doors
tric L Plumbing ❑Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ ;z'9/"
S Ft. of First Floor: _
Utilities:0Sewer OSeptic
Building Height:
OWNER/LESSEE`.
CONTRACTOR.-,.
ame '
Name: Justin C. Thiery
Company: Island Kitchen and Bath
G� e
ddr ss' l rLtC� J�7C0� ��
Address: 2340 SE Charleston Dr.
ity:f Zl1�GCJ4 Stated
ip Cod 131,4 CJ1 Fax:
hone NoAo L4L� 4&- USSO
City; Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. (772) 678-8219
-Mail:
E-Mail: ithieryikb@gmail.com
II in fee si pie Title Holder on next page( if different
m the Owner listed above)
-- - --
State or County License: CBC1259508
-------"----..:_..A
If value of construction is 5250D or more, a t¢c.Urcuw rvuace'! ........ ..__,,,_^• • •- _.. __.
�V`u - (�Y,n,
-SUPPLEMENTAL CONSTRUCT ION'LIEN,LA* NFORIVIATION`.` ,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name: sure Tecinsurance company
Address:
Address: 133o Post oak Blvd
City: Houston
City:
Zip: Phone:
Zip:77056 - Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your. deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing -work or recording our Notice of Commencement.
signature of Owner/ Les ee/Agent
S' na a cif ractor/License Holder
STATE OF FLORIDA
COUNTY OF S57. r �:2
STATE OF FLORIDA
COUNTY OF 5`T JCr
The forgoing instru ent was acknowledged before me
this�dayof 20lrby
The forgoing instru ent was acknowledged befo a me
this �day of 20 JL by
1
(Name of person acknowled i )
(Name of person acknowlecli g )g)
t(sigatuo Notary Public- State of Flori a
( gnat a Kota u ate of Florida)
PersonC/Known R Produced Identification
of Identification Produced
nown ��R Produced IdentificationType
ntification Produced
Commission No % ,.•�" (SetpRGARET M. LEONAR
,';gin„
;� • ° Notary Public - Stale of Flo
• �' •= M Comm. Expires Jul 17.
• :p Commission
Revised 07/ 15/2014 `" %°t I„"' Bonded Through National Nolary
Cc mission No.45S%%
ida ; .8�e,,, ARGARET M. LEONARD
818 ;z°, =: Notary Public - Slate of Florida
• _ y omm. xpves u
Assn. Commission N BE 77881
Bonded Through National Notary Assn.
REVIEWS
CFRONT
OUNTER
ZONING
REVIEW
SUPERVISOR REVIEW
PLANS
RE EW
VEGETATION
REVIEW
A TU
5 REVIEW LE
MANGROVE
DATE
COMPLETE
INITIALS
5„ a ;'I i:„ i ; planning & Development Services
_ Building & Code Regulation Division
6 2300 Virginia Ave
Fort Pierce, Fl. 34982
772-462-2172 FOX772-462.6443
PERMIT #: bog- 0
BUILDER/CONTRACTOR: ► Y1 �
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE *: -;S,'
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: F�10 e sir Chemicals used: IAA 5Q�1 �✓�
Percentage of solution: (� ` 6X
Date of Treatment: 7
'-_Footing
1t Treatment
!Re -Treat
,_Driveway
.1' Treatment
R -T _reat
�Othe � i� V11R
1a Treatment
_Re -Treat
Total gallons used: Z�
Time of Treatment: Z ' a 0
_Slab
_la Treatment
—Re-Treat
,Pools
lrt Treatment
_Re -Treat
Perimeter for
Final Inspection
Signature of Exterminator
Note: There must be a Completed form for each required treatment orie-treatment and this form must be on the job
site to be p/dred up by the Inspector at time of each inspection or the scheduled losperh'on will fall and a•re-inspection
fee charger..
F8CID4.2.6 Certificate of Protective Treatmentforprevention of termites. A weather re519t3ntJ0b5ite posting board
Shall be provided to receive dupilcate Treatment Certificates as each required protedve treatment is me T/n� Treatment
providing a mpyfor the person the permit is issued to and another copy for the building permit
tity of applicator, time and date of the treatment, site !oration, area
Certificateshali provide the product used, Iden
treated, chemical used, perCentconcentrationandnumber ofgalIons used, to establish a verifiable record of
r method for termite prevention is used, final exterior tnatmentshall
protective treatment. If the soil diemiral harde
be completed prlorto final building approval.
St Lucie County requires for the final inspection for CO, a permanent Sticker to be placed on
the electracal panel box cover, fisting all the treatments and dates of applications.
wh
6,�-0Z
ST. LUCIE C UNTY BUILI)t G DIVISION
REVIEWED FOR COl!LtrCE
REVIEMWI) BY �.�-i_ S4w, LE,,, -
PLANS AND PERMIT -MUST BE
OR NO INSPECTION WILL BE 1
THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDER TO
_ _ _; _C.ONiP1rY..WITH ALL APPLIC, BLE CODES.
CONCEALED FASTENERS OR ATTACHMENTS
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---------
•l� I%T y%j71
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
ER13014993
GWP Electric have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for island Kitchen and Bath
(Type of Trade) (Primary
For the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (For,: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNA
Business Name:
Address:
City/State/Zip:
ARE REQUIRED
282 Kestor Drive
Port St., Lucie, FL 34957
Phone: --172-485-2001
r) ejzz;��
1 E
email: gwpelectric@att.net
Guerry Parfait
PRINT NAME
STATE OF FLORIDA, COUNTY OF St. Lucie
q/.2
D E
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF
BY Guerry Parfait WHO IS PERSONALLY KNOWN X
PRODUCED
OF NOTARY PUBLIC
6/2014
AS IDENTIFICATION.
OF
20
OR HAS
(STAMP)
MARGARET M. LEONARD
Notary Public - State of Florida
•5��,i;`{,' _ My Comm Fxpires Jul 17, 2015
e'�; Commission # EE 77881
��'%°(� °• Bonded Through National Notary Assn
J
PERMIT# / SCE2-0z),, ISSUE DATE I Gam+
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
Pipe Connection
CFC033824
have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for Island Kitchen and Bath
(Type of Trade) (Primary Contractor)
For the project located at9q 40 CJ O
(Project Street Address or
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDY (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED
Business Name:
Address:
City/State/Zip:
ARE
2501 SE Baer St
Port St. Lucie, FL 34953
Phone: (772) 260-5958 email: oe' flonsc@a'""1=m
Lee Marion
aqtU-U
RE PRINT NAME
STATE OF FLORIDA, COUNTY OF St. Lucie
DANKS �
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I-) DAY O , 2015
By Lee Marion WHO IS PERSONALL OWN X OR HAS
PRODUCED AS FICAT
(STAMP)
SI A URE OTARY PUBLIC PRINT M NO ARY PUBLIC MpRGARET M. LEONARD
OS/06/2014
HY'a� Expires Ju
stale of F� ZO�5
SLCP : sp`. ° .. Nola yPublic -
_ My Comm. l 17,
Commission pEE 77881
�' a �;,;:�•'�` Bonded Thiaugn National Notary Assn.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
Island Kitchen and Bath
(Company/Individual Name)
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
will be using the following sub -contractors for the
project located at (4 S V �— C50 —00 B C
(Street address or Property Tax ID
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
GWP Electric
ER13014993
Plumbing
Pipe Connection
CFC033824
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/292014
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE k 410141B OR BOOK 'r PAGE 2423, Recorded 08/13/2015 at .29 PM
I
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statures the following information is provided in the Notice ofcommencermnt. qq��
1, DESCRIPTION OF PROPERTY (legal description and sheet address) TAX FOLIO NUMBER450D s'( Dzi 1�]_{ `a'
2. GENERAL DESCRIPTION
b. Address PING i 0r: r '} 11' It 01 fle Ae,nyA't n JYtt( r c. interest in pmpcnyCtd_ - .{,
d. Name and address of fee simple titleholder (ifother than owner)
a. CONTRACTOR'S NAME, ADDRESS AND PRONE NUMBER: a'ssaThi�IuOSE mMs.m ..w Slww,naseszlmlamasle
5.SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: smrw m.,rrwca tssovwoa are. •°T'°"",st°•°°°
6.LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Penns within the Stare of Florida designated by Owner upon whom notices or other documents may be steed as provided by
Settion 713.13 (p(a) 7., Florida Smarter:
NMIE, ADDRESS AND PHONE NUh1BER:
i
8. in addition to himself or herself, Owner designates the fallowing to receive a copy of the Ltenor's Notice as provided in Section
713.13 (I)(b), Florida Statutes:
NAME, ADDR&S9 AND PHONE NUMBER:
9. ExpimGon date of notice of commencement (the expiration date is 1 year from the data of recording unless a different data is
specified) ,_,20_,
signature of Owner or Print Name and Provide Sigrustory's TitidOffice
Owner's Authorized Offlicer/Director/Pt riner/Maneger
Smte of Florida
County of St. Udo
The fore_g`of1pghhnt/irtim/�
tra acknowledged before me this r:t day of
,20
9y `-"�1[:,1A.1'
l�.l _ 're Owner
(Name ofperson) (Type of authority...e.g`Owner.
officer, trustee, avomey in fact)
For Owner
(Name of pray on behalf of whom instrument was easy Personally owa-,�erpredoecdtihe
following type of ID:&
of Nomry Public) I (Si at of�Pd6lic) •-:, '!
Is of paryry,1 declarethat 1 have read foregoing and that the Facts in it are (me to doe best of my knowledge and
92525, Florida Statutes).
Signatare(s) of Owna(s) or Ow/ner(s)' Authorized ORcer(/Directclor/`Pertn�ef/Mmanicer who signed above:
By
u..a3aasiasrrtma^91
STATE OF FLORIDA .
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE a r
0 INAL.
OSE E.S IT ,CL
9 Dep tY Clerk
Dale: Us 3 2015